#1
Home Instead
4186 Old York Rd, Rock Hill, SC 29732
★★★★½ 4.9 from 88 Google reviews · Licensed in South Carolina
Top-rated in-home care agencies in every state, ranked on public reviews. Agencies can't pay to be listed higher.
The 9 top-ranked in-home care agencies serving Rock Hill, SC, ordered by the Care Close to Home Score. Each holds an active South Carolina In-Home Care Provider license and has at least 10 public reviews. Home Instead (Rock Hill, SC) ranks first with 4.9 stars from 88 reviews.
Updated November 2026 · Data: state license rosters, checked October 28, 2026 · How we list agencies

One agency per city and care type can hold this space, with photos, their story and a consultation form. It doesn't affect the rankings below.
#1
4186 Old York Rd, Rock Hill, SC 29732
★★★★½ 4.9 from 88 Google reviews · Licensed in South Carolina
#2
1615 Ebenezer Rd, Rock Hill, SC 29732
★★★★½ 4.8 from 54 Caring.com reviews · Licensed in South Carolina
#3
1125 N Anderson Rd Ste 102, Rock Hill, SC 29730
★★★★½ 4.7 from 90 Google reviews · Licensed in South Carolina
A labeled ad between No. 3 and No. 4, open to any agency, ranked or not.
#4
2342 Ebenezer Rd Ste A, Rock Hill, SC 29732
★★★★★ 5.0 from 36 Google reviews · Licensed in South Carolina
#5
2025 Ebenezer Rd Ste 107, Rock Hill, SC 29732
★★★★★ 5.0 from 21 Google reviews · Licensed in South Carolina
#6
454 S Anderson Rd Ste 213, Rock Hill, SC 29730
★★★★★ 5.0 from 19 Google reviews · Licensed in South Carolina
#7
448 Lakeshore Pkwy Ste 210, Rock Hill, SC 29730
★★★★½ 4.8 from 25 Google reviews · Licensed in South Carolina
#8
9570 Two Notch Rd Ste 7, Columbia, SC 29223
★★★★½ 4.6 from 23 Caring.com reviews · Licensed in South Carolina
#9
430 S Herlong Ave Ste 102, Rock Hill, SC 29732
★★★★★ 5.0 from 11 Google reviews · Licensed in South Carolina
Tell us the ZIP code and the care you need. We pass your request to up to three agencies that serve your area. Free, no obligation.
Request free helpNon-medical in-home care. Source: CareScout 2025 Cost of Care Survey.
Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.
Ways to payFree, no obligation
Tell us the ZIP code and the care you need. Within one business day we'll pass your request to up to three in-home care agencies on this list that serve that area. Each one contacts you directly, so you can compare rates and caregivers before you choose. There is no cost to ask.
We never sell your details, and you can stop at any time.
We ranked the top nine in-home care agencies serving Rock Hill, SC. Every one holds an active South Carolina In-Home Care Provider license in the South Carolina Department of Public Health public roster dated October 28, 2026, and each has at least 10 public reviews. They are ordered by the Care Close to Home Score, which combines the rating (adjusted for how many reviews stand behind it), the number of reviews, and the license check. The other 54 licensed agencies serving Rock Hill, SC are not listed here.
In-home care means non-medical help that lets an older adult keep living at home: bathing and dressing, meals, housekeeping, errands, medication reminders and company. It is usually paid for privately, with long-term care insurance, a Medicaid program or VA benefits, not by Medicare. Compare at least three agencies, and ask each whether caregivers are employees, how they are screened, who supervises them, the minimum hours and the hourly rate.
In South Carolina, the median rate for in-home care is $31 an hour, about $2,719 a month for 20 hours a week (CareScout 2025).
The 63 agencies on this list are based in 4 ZIP codes; the busiest are 29730 (32 agencies), 29732 (29 agencies) and 29720 (1 agency). If Rock Hill has too few choices for your needs, the closest other cities we list are Fort Mill (18 agencies, about 8 miles away), Lancaster (12 agencies, about 21 miles away) and Charlotte (6 agencies, about 26 miles away).
Guides: In-home care: how to find and choose an agency · How to check an agency · What it costs by state · Ways to pay
Rock Hill is York County's largest city, about 25 miles south of Charlotte, with roughly 76,000 residents and the Winthrop University campus near its center. Older streets around Old Town and Boyd Hill sit alongside fast-growing subdivisions in Newport and Ebenezer, so aging at home can mean either a historic bungalow or a newer suburban house. About 15 percent of residents are 65 or older. Many families are spread across the Charlotte metro, and in-home help fills the gap between visits.
14.9% of residents are 65 or older. Source: 2020 Census (city), as reported on Wikipedia.
In Rock Hill, families ask about care in Old Town (Downtown), Ebenezer, Oakdale, Newport and Boyd Hill.
Agencies listed here also commonly serve nearby Charlotte, York, Clover and Lake Wylie area. Confirm each agency's service area before you sign.
Care that fits the routines of home often means getting to the places that matter: Tillman Hall at Winthrop University, Glencairn Garden, Museum of York County, Riverwalk and Rock Hill Outdoor Center, Mural Mile and Comporium Telephone Museum.
Summers are hot and humid and winters are cool and dry, so the main seasonal planning point is keeping a home comfortable in July and August. Charlotte is about 25 miles north, which can slow visit timing for family and caregivers, and the northern Ebenezer area and the southern Oakdale area are quite far apart within the city limits. The Rock Hill Senior Center is one of three York County senior sites run through the regional aging agency.
The state roster dated October 28, 2026 lists 63 agencies in Rock Hill with an active South Carolina license. Agencies based in nearby towns may also serve Rock Hill.
Call at least three. Ask whether caregivers are employees or independent contractors, how they are screened and supervised, the minimum hours and the hourly rate, and what happens when a caregiver is sick. Ask for a written care plan. Our guide to how to check an agency has the full list.
Each agency has an active state license and at least 10 public reviews. The Care Close to Home Score is out of 100: 60 points for the review rating, adjusted so a handful of reviews counts for less than a hundred; 20 for the number of reviews; 15 for the license check; and 5 for a verified phone and website. Agencies cannot pay to rank higher.
Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.
The agency holds a license from the state health department. Licensing sets minimum standards and allows the state to inspect and act on complaints, but it does not rate how good the care is.
The agency checklist, a plain-English guide to paying for care and a care cost planner, sent to your inbox.